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Epiploic appendagitis

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Acute abdominal pain (left lower quadrant).

Patient Data

Age: 30 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

ct

Fat-density ovoid structure  in the left iliac fossa and abuts the sigmoid colon with surrounding inflammatory fat stranding.

Case Discussion

The findings of CT images are compatible with epiploic appendagitis.

Epiploic appendagitis is a rare self-limiting inflammatory / ischemic process involving an appendix epiploica of the colon and may either be primary or secondary to adjacent pathology. It is an important diagnosis to make as it avoids unnecessary surgery.

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